[Transfusion Audits]

I would like a copy of check list. It seems like a very good tool

Thanks

EG

gillise@nmhct.org

[Igloo Coolers and Dry Ice- Any Experience/Issues?]

We store frozen tissue at -40 C, and issue to the OR. We use the styrofoam coolers. We use the blocks of ice on the bottom and top, and this holds the temp. Tissue stored at -40C expiration date is 6 months.

[Ortho Mts Gel System]

We have been using gel since 1997. Like everyone else we would not switch back. Ditto for the previous things about gel.

[MTS-Gel Back-Up methods]

We have had similar results with gel. We send ours to reference lab, it usually comes back WARM Auto, Cold auto, occasionally an allo: Jka, Kell, C

[New Retype Policy Pitch To Administration - How Does It Look?]

We are a small hospital also. We do a retyping on all patients, techs were too confused to be more selective on patients. On our type and screens, I have an automatic default for a confirmation test with a comment attached that a confirmation by ABO/Rh needs to drawn before the patient is transfused. All pre-op patients without a previous ABO/Rh are automatically drawn by our phelebotomist the day of surgery and the nurses now call from ODS to double check to see if we need a confirmation. All in patients, we wait until the next draw unless it is necessary the patient will get transfused, then we will redraw for the confirmation. We do use purple (CBC) or blue (COAG). All outpatients the confirmation is cancelled. In an emergency we follow the protocol for emergency transfusions by giving O neg. We did have reluctance with nurses and doctors at first, not anymore. The policy works very smoothly.

[Du poitive patients;Rhogam]

We have many OB doctors who send there specimens to a reference lab, They claim they do Du part of there routine. We have had two different OB patients who upon arrival for delivery who Du is 2+, DAT negative. Doctor still insists the patients should receive Rhogam because they received it at 28 weeks. My pathologist caters to the doctors. Has anyone come across the same problem. Is it still ok to give Rhogam?